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Decision aid improves decision quality for seniors with chronic kidney disease - Medical Xpress
For older adults with chronic kidney disease (CKD), a decision aid about kidney replacement therapy improves decision quality and clarifies treatment preferences, according to a study published online Dec. 20 in the Annals of Internal Medicine . Keren Ladin, Ph.D., from Tufts University in Boston, and colleagues examined whether the Decision-Aid for Renal Therapy (DART) improved decisional quality versus usual care in a multicenter trial conducted at eight outpatient nephrology clinics. Overall, 363 older adults were randomly assigned to usual care or DART (180 and 183, respectively). Change in the decisional conflict scale (DCS) score was examined from baseline to three, six, 12, and 18 months. The researchers observed an improvement in decisional quality with DART, with the mean DCS score ...
Hand function following accidental automatic animal syringe injector ... - Nature.com
Abstract Accidental self-injection injury is a common occurrence among veterinary and farm workers handling automatic syringe injectors. Most of the time, these injuries are asymptomatic or cause self-resolving mild symptoms, but these injuries may lead to significant morbidity. The aim of the study was to evaluate hand function after inadvertent injection of a poultry influenza or cholera vaccine in patients admitted to our department with infection. We retrospectively gathered data from admission to last follow-up. Functional assessment and physical exam of the hand were done at each stage by either an orthopedic resident or a fellowship-trained hand surgeon. The exam included evaluation of sensation using monofilament, joint range of motion using a goniometer, and a Quick DASH questionnaire. The study included 21 patients, all men, with a mean age of 33.4 years (range 23–44). Of the 21 patients only eight had attended all follow-ups. All patients had injury to the non-d...
Stellis Adds Internal Medicine Specialist to Network - North Wright County Today
Carla Schultz, MD, joins the team with a focus on internal medicine and wellness. December 13, 2022 By Mike Schoemer Internist Carla Schultz, MD, recently joined Stellis Health to care for adults ages 18 plus. "We are excited to welcome Dr. Schultz to our medical team and community," said Brent Wilde, CEO of Stellis Health. "Her teaching expertise and approach to providing holistic healthcare with joint patient-doctor decision making are a perfect fit with Stellis Health." Stellis has locations in Buffalo, Albertville-St. Michael and Monticello. "I want my patients to feel heard and valued," says Dr. Schultz. "My goal is to help patients live their best possible lives with the support of medicines and treatments when appropriate. My style is collaborative, not paternalistic." When asked what patients can expect when they meet her in the exam room, Dr. Schultz said, "You can expect efficient care and support if you have a quick ill...